The arrival of Dujarre and Renault made Qin Chuan feel a lot better. Being able to see that the patients he treated was well made Qin Chuan feel good. It is impossible for a doctor to cure all the patients he takes over. There will always be limitations.
Medical skills may be limited by technology. There is no way to do this. Science will always lag behind the discovery of new diseases.
But any success is like applause in a doctor's career. This kind of applause will inspire people and motivate them to move forward hard.
Dujar and Renault brought another turkey. Last time Qin Chuan accepted their turkey and expressed his gratitude. They thought Qin Chuan loved turkey. In fact, Qin Chuan was not used to the flavor of turkey.
Chinese people who are familiar with oil, salt, soy sauce and vinegar will take the taste with them wherever they go. It may be easier for Chinese people to accept the culture of a place, but it is always difficult for them to accept the flavor of that place.
Although Qin Chuan didn't like eating, he happily accepted the gift from Duyal and Renault.
Qin Chuan was too embarrassed to ask which supermarket Du Yaer seemed to still be working in.
However, Du Yaer quickly gave Qin Chuan the answer: "I have left that supermarket. My husband thinks that men should take charge of the outside world and women should take charge of the house. I think the burden of life should be left to my husband."
After retiring, Renault kept writing and wrote some things. After recovering from his illness, he submitted the manuscript to a magazine and it was accepted by that magazine. It will be published soon. As a result, Renault received a large sum of money.
The royalties also strengthened Reno's determination to keep writing.
When Renault left, he turned around and shouted to Qin Chuan: "Qin, when my book is published, I will send it to you."
"Then I'll thank you in advance." Qin Chuan was in a very good mood when he saw Renault and his wife leaving happily.
Qin Chuan, who was in a good mood, met Linus, who was unhappy in the corridor.
"Dr. Linus, you seem to be in a bad mood. Did something happen?" Qin Chuan asked.
"Indeed." Linus nodded.
Linus told his troubles from beginning to end. It turned out that he had just taken over a very difficult patient.
The patient's name is Varley. Varley is 50 years old today. He was sent to the emergency room because of asthma. Varley has gained weight suddenly recently and his physical strength has dropped significantly. He will be out of breath if he does even a little physical activity.
The emergency doctor believed that Varley was suffering from fluid retention caused by heart failure. Obese patients like Varley, whose weight is several times that of normal people, often cause the heart to overload, which is equivalent to engaging in strenuous exercise all the time. And generally
All obese patients will snore. In fact, it is caused by the obstruction of the respiratory tract. Due to this reason, suffocation and lack of oxygen will further damage the heart. Therefore, heart failure and edema are often common symptoms of obese patients.
Based on this, the emergency patient judged that Warley might have heart failure and edema. The emergency doctor prescribed a dose of diuretic for Warley. It is estimated that Warley can go home after this dose of medicine is injected.
However, although Valet diuretic, the symptoms did not alleviate, but became more serious. His blood pressure dropped sharply, and he was almost in shock. So he was sent to the ICU.
"As soon as the patient came, I used vasopressor drugs. But I didn't understand why he had hypotension." Linus looked worried.
If the cause of the disease is not found, the risk to the patient cannot be fundamentally addressed.
"What is your initial judgment?" Qin Chuan asked.
"I suspect that the myocardial blood supply is insufficient. Dr. Qin, can you go and have a look? Maybe you will have some good suggestions." Linus said.
Unknowingly, Qin Chuan's status in the ICU ward has gradually improved. This is a place where true skills are spoken. If you have extraordinary abilities, you will naturally be respected by others.
Qin Chuan nodded: "I happen to have nothing to do, let's go over and take a look."
Only after seeing Varley himself did Qin Chuan understand why Linus had difficulty diagnosing the patient's disease.
Warley is too fat, weighing more than 500 kilograms. There is thick fat everywhere. General conventional methods cannot be used at all, and the CT scanning table cannot bear his weight at all.
"Dr. Qin, what do you think?" Linus asked, seeing Qin Chuan confused.
Qin Chuan was also a little embarrassed. However, he felt that Ware's condition did not seem to be like heart failure. Patients with heart failure usually suffer from edema of the lower limbs. But during the examination just now, Qin Chuan could feel Ware's two pillar-like thighs.
Although he was very fat and bloated, it didn't look like edema, but thick fat. However, his belly was disproportionate to his obesity. Qin Chuan could feel that there seemed to be a lot of fluid in Ware's belly.
"Stop the diuretics first." Qin Chuan said quickly.
Although Linus didn't understand why Qin Chuan did this, he really had no choice at this time. Since Qin Chuan said so, he had no choice but to do it.
Sure enough. In this way, Warley's condition was indeed relieved. His blood pressure was slowly rising.
"Dr. Qin, it really works! Have you found the cause of Valley's disease?" Linus asked excitedly.
Qin Chuan shook his head: "I just have a rough feeling that the cause of his disease is not heart failure. His disease should be in his abdomen."
"How did you see it?" Linus asked puzzledly.
After Qin Chuan examined Ware, he quietly took Ware's pulse and examined it using traditional Chinese medicine methods. Ware was too fat, and it was not easy to take his pulse. But Qin Chuan
Qin Chuan still overcame the difficulties and made a diagnosis for Varley. Varley's disease was indeed in the abdomen. It was suspected to be a tumor. But Qin Chuan could not say this to Linus.
Qin Chuan could only tell some of the abnormalities he had just seen. As for the pulse condition, Qin Chuan concealed it.
"By the way, Doctor Qin, does what you did to Warley just now have any special meaning? Is it your own original examination method?" Linus looked at it very carefully. However, although he saw Qin Chuan taking the pulse
process, but I didn’t understand what was going on.
"No. I'm just feeling Warley's heartbeat. I think what we can do now is to do an abdominal puncture for Warley and draw out the ascites for examination," Qin Chuan said.
Linus ran into trouble again when he was trying to puncture Vale. Vale was too obese and the puncture needle was too short, so there was no way to puncture the abdominal wall. There was thick grease there.
"What should I do? I can't get through it at all." Linus asked in embarrassment.
"You should be able to use a long spinal puncture needle." Alyssa suggested from the side.
Qin Chuan nodded: "This is feasible."
Alyssa took out the puncture needle, and Qin Chuan asked Alyssa and Linus to help, and pierced the long needle into the abdominal wall himself. However, after piercing a long distance, he got a tube of liquid. The liquid was dark red,
But under the microscope, Qin Chuan saw no abnormal cells, all were red blood cells. He didn't know whether what was taken out was ascites or blood.
"Let the surgical consultation take place," Qin Chuan said.
Not long after, surgeon Merriman arrived.
"I want to perform a laparoscopy on the patient to see if there are any lesions in his abdominal cavity," Qin Chuan said.
Merriman shook his head quickly. He didn't know Qin Chuan, and a resident doctor who had just arrived at the hospital had no influence on the surgeon Merriman.
"I'm sorry, laparoscopy can only be done in the operating room. Because laparoscopy requires general anesthesia. How can laparoscopy remove abdominal fluid for you?" Merriman shook his head repeatedly.
"But if we don't do this, we have no way of knowing what kind of lesions have occurred in the patient's abdomen. Only after confirming the patient's condition can we take action. You must help this person. For this life-threatening situation,
Patient." Qin Chuan said.
Merriman hesitated: "But, this is really not in accordance with the procedure. Moreover, are you really sure that there is a disease in his abdominal cavity?"
Qin Chuan told Merriman his reasons.
Linus was somewhat familiar with Merriman: "Morryman, I am actually responsible for this patient. Dr. Qin is helping me. His diagnosis is very accurate, and he corrected my previous mistakes. Merriman,
We are friends, you have to help me."
Linus' words made Merriman a little embarrassed, "Okay. Linus, you'd better not lie to me. Otherwise, you won't even be friends in the future. If there is room in the operating room, I will do it for Vallee."
arrange."
It was at night that Merriman found a gap for Vallee and finally performed a laparoscopy on Vallee.
The results of the laparoscopy were horrifying. The wall of Warley's abdominal cavity was densely covered with tumors. Moreover, this operation was extremely difficult, and more than ten liters of abdominal fluid was removed at once.
Merriman lamented to Qin Chuan: "Dr. Qin, I'm really sorry for that. Your judgment was very accurate. If I hadn't encountered you, I would probably have misdiagnosed this disease. But your judgment was very accurate."
"Morliman, you did a good job too. All this must be attributed to you." Qin Chuan said with a smile.
Linus also admired Qin Chuan very much: "Doctor Qin, you are really amazing. Just after a few glances, you can roughly judge Valei's condition."
"Dr. Linus, I think it's best for you to tell Valais the news as soon as possible," Qin Chuan said.
Telling a patient a bad condition is not an easy thing for a doctor. Especially when you tell a patient a condition that may take his life, his despair is something you cannot face.
Linus has been in the ICU ward for several years, so he is more experienced in doing this kind of thing. But it is still not easy.
"Mr. Varley, there is something I have to tell you. You know, we examined you tonight. In order to give you the opportunity to have this examination, Dr. Qin tried his best. Finally, the examination results came out.
Linus didn't get straight to the point.
"Is my condition serious?" Varley seemed very calm, as if he was not talking about his own condition. (To be continued, please search Piao Tian Literature, the novel is better and updated faster!
